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Polymyalgia Rheumatica (PMR) Quiz

Polymyalgia Rheumatica (PMR) Quiz

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Question 1 of 6

1. Question

An older adult has new bilateral shoulder and hip girdle pain with morning stiffness. Which finding most strongly argues against polymyalgia rheumatica?

Presence of anti-CCP antibodies
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Response to NSAIDs
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Joint swelling in the wrists
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Symmetrical stiffness in the neck and shoulders
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Question 2 of 6

2. Question

A 72-year-old woman with suspected polymyalgia rheumatica starts prednisone and has marked symptom improvement within 48 hours. What is the best interpretation?

The patient likely has fibromyalgia
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The diagnosis of PMR is strongly supported
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The prednisone dose is too high and should be lowered
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The improvement is likely due to placebo effect
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Question 3 of 6

3. Question

In a patient with polymyalgia rheumatica, which presentation most strongly suggests concurrent giant cell arteritis?

Muscle tenderness on palpation
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Sudden onset of unilateral headache and jaw claudication
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Bilateral morning stiffness without systemic symptoms
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Gradual weight gain on corticosteroid therapy
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Question 4 of 6

4. Question

Why is ongoing follow-up essential for patients being treated long term for polymyalgia rheumatica?

Because PMR progresses to systemic lupus erythematosus (SLE)
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To detect complications like renal failure
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To monitor for steroid-induced side effects and disease relapse
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Because PMR is a rapidly fatal disease if untreated
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Question 5 of 6

5. Question

Which laboratory pattern is most consistent with polymyalgia rheumatica?

Normal ESR with elevated creatine kinase (CK)
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Elevated ESR and CRP with normal CK
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Positive ANA with low complement levels
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Elevated rheumatoid factor and anti-CCP antibodies
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Question 6 of 6

6. Question

A patient with polymyalgia rheumatica is hesitant to stay on glucocorticoids long term. Which medication is the best steroid-sparing option from the choices listed?

Methotrexate
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Ibuprofen
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Hydroxychloroquine
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Cyclophosphamide
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